分娩镇痛下分娩球运动配合自由体位对产程及分娩结局的影响分析

The influence of labor delivery ball exercise and free position on labor and birth outcome

目的：探讨分娩镇痛下分娩球运动配合自由体位对产程及分娩结局的影响。方法选取110例初产妇作为研究对象，采用数字随机分组方法将其分为观察组以及对照组，每组55例，其中观察组采用分娩球联合自由体位助产，对照组采用常规方式助产，比较两组产后2 h 出血量以及第一、二、三产程及总产程的时间，比较两组产妇的 VAS、VRS、PPI、VAS-A 及 LAS 评分，并比较两组阴道自然分娩率。结果观察组疼痛评分、焦虑评分分别为（6．14±1．66）分、（3．63±1．24）分，均明显低于对照组的（8．46±1．27）分、（6．32±1．33）分，且分娩控制感（171．21±19．75）分亦明显高于对照组的（125．71±17．42）分，组间差异均有统计学意义（t ＝6．115、3．938、5．327，均 P ＜0．05）。观察组第一产程时间以及总产程时间分别为（452．44±137．75）min 以及（493．02±137．99）min，均明显低于对照组的（525．51±128．19）min 以及（576．41±132．13）min，组间差异有统计学意义（t ＝3．097、5．406，均 P ＜0．05）。观察组自然分娩成功率92．73％，明显高于对照组的67．27％，组间差异有统计学意义（χ2＝16．135，P ＜0．05）。结论自由体位助产配合分娩球运动助产应用于自然分娩效果良好，损伤小，提高孕妇的控制感，减轻疼痛，值得临床推广应用。

Objective To analyze the influence of labor delivery ball exercise and free position for nursing on labor and birth outcome.Methods 110 cases of primipara were selected as the research subjects in our hospital, they were randomly divided into observation group and control group accorrded to digital method,55 cases in each group.The observation group received labor delivery ball exercise and free position for nursing,the control group received conventional way for nursing.The labor time of 1,2,3 stage,the total time of labor and 2h postpartum blood loss in two groups were compared,the VAS,VRS,PPI,VAS -A and LAS scores,the vaginal natural births rate of two groups were compared.Results The pain score,anxiety score in the observation group were （6.14 ±1.66）points and （3.63 ±1.24）points respectively,which were significantly lower than （8.46 ±1.27）points and （6.32 ± 1.33）points in the control group,and birth control score （171.21 ±19.75）points was also significantly higher than the control group （125.71 ±17.42）points,the differences between the two groups were statistically significant（t =6.115,3.938,5.327,all P 〈0.05 ）.The first labor time and the total labor time in the observation group were （452.44 ±137.75）min and （493.02 ±137.99）min respectively,which were also significantly lower than the control group [（525.51 ±128.19）min,（576.41 ±132.13）min],the differences between two groups were statistically sig-nificant（t =3.097,5.406,all P 〈0.05）.The natural childbirth success rate of observation group was 92.73%,which was obviously higher than 67.27% in the control group,the difference between the two groups was significant （χ2 =16.135,P 〈0.05）.Conclusion Free position midwifery match with ball movement launched applied in natural birth can obtain good results,and has small injury,can improve the pregnant women＆#39;s sense of control,reduce pain,it is worthy of clinical popularization and application.